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Contact Information

LAWRENCE CRYSTAL, DPM
136 MILL ST
PRINCETON, ME04668-3344
 Phone: 207-796-5503
 Fax: 207-796-5528
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LAWRENCE CRYSTAL · (Male)

NPI # 1508814450
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/04/2006
Last updated 07/14/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # POD153
  • ME Medicaid 111430000
  • ME Other 2183024 AETNA PROV #
  • ME Other 098463 ANTHEM IDENTIFICATION
  • ME Other 48007894 RAILROAD MEDICARE PROV #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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